ECU Library: Document Delivery

Document Delivery Services

Request A Chapter From A Book
This form is only for use by external students for book chapters held at ECU

ECU BOOK CHAPTER REQUEST FORM & COPYRIGHT DECLARATION

Edith Cowan University, External Library Service
Joondalup Campus, 270 Joondalup Drive, JOONDALUP
Western Australia

Phone: (+61 8) 6304 3742
Fax (+61 8) 6304 5719
Email: extlib@ecu.edu.au

This form can be submitted online or printed, mailed or faxed. Note: One form for each chapter requested.
Where possible the chapter is emailed to your ECU email account

Book Title
Author/Editor		Year:
Chapter/Page No		SBN:
Edition

Your Full Name
Phone		Mobile:
Student/Staff No
Address
	COPYRIGHT DECLARATION: I declare that I require the copy for research and study purposes and that I will not use it for any other purpose. I also declare that I have not previously been supplied with a copy of this material by an authorised officer of the Library.
	By submitting this form, I agree to the copyright terms mentioned above

If you intend to mail or fax this form please sign after printing

Signature...................................................................................... Date............................................................